Abstract:
BACKGROUND:In France, no previous studies have focused specifically on health problems among medical students during internships abroad including the clinical symptoms suggestive of infectious diseases and the acquisition of pathogen carriage. METHODS:Clinical follow up and qPCR based respiratory, gastrointestinal and vaginal pathogen carriage before and after travel were prospectively assessed in a cohort of medical students departing from Marseille, France. RESULTS:134 students were included. 73.9%, 38.8% and 5.0% of students reported gastrointestinal, respiratory and vaginal symptoms, respectively. The acquisition rate of Enteroaggregative Escherichia coli (EAEC) and Enteropathogenic E. coli (EPEC) was 53% and 41%, respectively. The acquisition of respiratory viruses was low but associated with persisting symptoms, while bacterial acquisition ranged from 3.3% for Streptococcus pyogenes to 15.0% for Haemophilus influenzae. Gardnerella vaginalis and Atopobium vaginae acquisition rates were 7.7% and 14.3% respectively. Five students (5.1%) had molecular quantification criteria for bacterial vaginosis on return. CONCLUSION:This preliminary study demonstrates that besides the known risk of gastrointestinal and respiratory infections and associated changes in intestinal and respiratory microbiota, medical students abroad may also experience changes in vaginal microbiota leading, in some cases, to clinical symptoms or the acquisition of bacterial vaginosis, which may be asymptomatic.
journal_name
Travel Med Infect Disjournal_title
Travel medicine and infectious diseaseauthors
Dao TL,Hoang VT,Ly TDA,Magmoun A,Canard N,Drali T,Fenollar F,Ninove L,Raoult D,Parola P,Courjon J,Gautret Pdoi
10.1016/j.tmaid.2019.101548subject
Has Abstractpub_date
2020-01-01 00:00:00pages
101548eissn
1477-8939issn
1873-0442pii
S1477-8939(19)30269-8journal_volume
34pub_type
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2006.01.015
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journal_title:Travel medicine and infectious disease
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
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journal_title:Travel medicine and infectious disease
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journal_title:Travel medicine and infectious disease
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
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journal_title:Travel medicine and infectious disease
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2004.06.002
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2009.03.003
更新日期:2009-05-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2007.02.003
更新日期:2007-07-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2009.05.006
更新日期:2009-07-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2013.12.007
更新日期:2014-07-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2010.04.003
更新日期:2010-05-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2018.04.007
更新日期:2018-01-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2015.08.007
更新日期:2015-09-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2007.08.007
更新日期:2008-01-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2014.03.005
更新日期:2014-07-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2008.09.004
更新日期:2009-03-01 00:00:00
abstract::Malaria is the most frequently imported acute, life-treating, tropical disease in international travellers. We did a literature review in PubMed using pre-defined search terms to identify possible risk factors for malaria deaths in travellers. After screening, a total of 51 papers were selected for inclusion and were ...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2014.04.014
更新日期:2015-01-01 00:00:00
abstract::Adverse reactions following vaccination are rare but may include potentially fatal anaphylaxis. This audit is a retrospective review of 38 patients with a history, or potential risk, of 'vaccine allergy' referred to an Infectious Diseases Unit for vaccination over a 10 year period. A total of 59 patient encounters wer...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2011.08.003
更新日期:2011-09-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2020.101908
更新日期:2020-11-20 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2009.06.003
更新日期:2009-09-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2013.10.005
更新日期:2013-11-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2018.07.011
更新日期:2019-01-01 00:00:00
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journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2009.08.001
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Travelers' diarrhea (TD) is the most common illness experienced by travelers to developing regions of the world and may be caused by bacterial, parasitic or viral pathogens. The available diagnostic tests include stool microscopy for parasitic infections, culture-dependent methods for bacterial infections an...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2020.101706
更新日期:2020-01-01 00:00:00
abstract::Sexually transmitted infections are often acquired during travel. Infections are most often seen in young adults, travelling without a regular partner and among those who have higher numbers of partners while at home. Alcohol and recreational drug use may increase risk. The risks are highest from having unprotected se...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章,评审
doi:10.1016/j.tmaid.2005.06.010
更新日期:2006-05-01 00:00:00
abstract::Influenza and meningococcal disease are two serious diseases that are especially linked. Outbreaks of influenza have been frequently associated with secondary outbreaks of meningococcal disease. Travellers such as Hajj pilgrims are at particular risk, the most recent meningococcal outbreaks being in 2000 and 2001, whi...
journal_title:Travel medicine and infectious disease
pub_type: 杂志文章
doi:10.1016/j.tmaid.2008.09.001
更新日期:2009-07-01 00:00:00